Literature DB >> 21208764

Initial dose effect of 5-fluorouracil: rapidly improving severe, acute toxic myopericarditis.

Ali Nazmi Çalık1, Emel Çeliker, Yalçın Velibey, Metin Çağdaş, Özge Güzelburç.   

Abstract

5-Fluorouracil (5-FU) has a significant antineoplastic activity and has been used for the management of various malignant neoplasms. Cardiotoxicity of 5-FU is rare but may be life-threatening. A 55-year-old female patient was admitted to our hospital with atypical chest pain. Her electrocardiogram revealed widespread ST-segment elevations, and she had an elevated troponin level. Transthoracic echocardiography revealed global myocardial hypokinesia with impaired left ventricular systolic function (ejection fraction, 20%). Coronary angiography revealed normal coronary arteries with no vasospasm, and therefore, she was hospitalized with the diagnosis of acute toxic myopericarditis and was treated medically. In literature, this case is the first case of acute toxic myocarditis occurring because of the first dose of 5-FU.

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Year:  2011        PMID: 21208764     DOI: 10.1016/j.ajem.2010.10.025

Source DB:  PubMed          Journal:  Am J Emerg Med        ISSN: 0735-6757            Impact factor:   2.469


  12 in total

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Review 2.  Cardiovascular complications of metastatic colorectal cancer treatment.

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Review 3.  New Insights on the Toxicity on Heart and Vessels of Breast Cancer Therapies.

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Journal:  Med Sci (Basel)       Date:  2022-05-25

4.  Rapid Extracorporeal Membrane Oxygenation Overcomes Fulminant Myocarditis Induced by 5‑Fluorouracil.

Authors:  Alok R Amraotkar; Ajay Pachika; Kendra J Grubb; Andrew P DeFilippis
Journal:  Tex Heart Inst J       Date:  2016-04-01

5.  5-Fluorouracil induces apoptosis in rat cardiocytes through intracellular oxidative stress.

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Review 6.  A systematic review of the pathophysiology of 5-fluorouracil-induced cardiotoxicity.

Authors:  Anne Polk; Kirsten Vistisen; Merete Vaage-Nilsen; Dorte L Nielsen
Journal:  BMC Pharmacol Toxicol       Date:  2014-09-04       Impact factor: 2.483

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Review 8.  5-fluorouracil and cardiotoxicity: a review.

Authors:  Jaskanwal D Sara; Jasvinder Kaur; Ryan Khodadadi; Muneeb Rehman; Ronstan Lobo; Sakti Chakrabarti; Joerg Herrmann; Amir Lerman; Axel Grothey
Journal:  Ther Adv Med Oncol       Date:  2018-06-18       Impact factor: 8.168

9.  What the Cardiologist Needs to Consider in the Management of Oncologic Patients with STEMI-Like Syndrome: A Case Report and Literature Review.

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Journal:  Pharmaceuticals (Basel)       Date:  2021-06-12

Review 10.  5-FU induced cardiotoxicity: case series and review of the literature.

Authors:  Cai Yuan; Hiral Parekh; Carmen Allegra; Thomas J George; Jason S Starr
Journal:  Cardiooncology       Date:  2019-09-06
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